Provider Demographics
NPI:1891856589
Name:ISKANDER, AFAF EZZAT (DDS)
Entity Type:Individual
Prefix:DR
First Name:AFAF
Middle Name:EZZAT
Last Name:ISKANDER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1526 SINALOA AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-2744
Mailing Address - Country:US
Mailing Address - Phone:626-398-7791
Mailing Address - Fax:
Practice Address - Street 1:709 N LAKE AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91104-4558
Practice Address - Country:US
Practice Address - Phone:626-797-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA431711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice